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Treatment of Escherichiosis
Last reviewed: 19.11.2021
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Hospitalization of patients with escherichiosis is carried out according to clinical and epidemiological indications. Patients with moderate and severe disease are hospitalized in infectious hospitals. In light cases, treatment of Escherichia is carried out outpatiently in the presence of favorable household, sanitary and hygienic conditions.
According to the epidemiological indications of hospitalization are subject to persons from the decreed groups, patients from organized collectives, as well as patients living in communal apartments, hostels.
Hospitalized patients, if the family has a person related to the decreed groups.
In the acute period of the disease, patients are recommended sparing therapy (table number 4, with the normalization of the chair - № 2, in the period of convalescence - № 13).
In mild cases of the disease, it is sufficient to prescribe oral rehydration therapy (regidron and other solutions, the amount of which should be 1.5 times the loss of water with feces).
Enzymes (panzinorm-forte, mezim-forte), enterosorbents (polysorb, enterosgel, enterodesis for 1-3 days) are shown. When the disease is easy, it is advisable to use intestinal antiseptics (intetriks two capsules three times a day, neointestopan after each act of defecation two tablets, up to 14 per day, enterol two capsules twice a day) for 5-7 days. Lung and erased forms of escherichiosis do not require the administration of etiotropic drugs.
If treatment of escherichiosis takes place in a hospital, the first 2-3 days show bed rest. It is prescribed etiotropic treatment for treatment of Escherichia. For this purpose, with moderate forms use one of the following drugs: co-trimoxazole, two tablets twice a day, or fluoroquinolone series preparations (ciprofloxacin 500 mg twice a day orally, pefloxacin 400 mg twice daily, ofloxacin 200 mg twice a day), the duration of therapy is 5-7 days.
In severe cases, fluoroquinolones are used together with cephalosporins 2nd (cefuroxime 750 mg four times a day intravenously or intramuscularly, cefaclor 750 mg three times per day intramuscularly, ceftriaxone 1.0 g once daily intravenously) and the third generation (cefoperazone 1.0 g twice daily intravenously or intramuscularly, ceftazidime 2.0 g twice daily intravenously or intramuscularly).
With dehydration of II-III degree, rehydration therapy is administered intravenously with crystalloid solutions (chlosol, acesol, etc.), which is carried out according to general rules.
With severe symptoms of intoxication, colloidal solutions (dextran, etc.) in the volume of 400-800 ml / day are used.
Antibacterial treatment of escherichiosis with continuing diarrhea should be combined with the use of eubiotics to correct dysbacteriosis (bifidumbacterin forte, hilak-forte, etc.) for 7-10 days. Patients are discharged after complete clinical recovery, normalization of stool and body temperature, as well as a single bacteriological study of stool, which is carried out no earlier than 2 days after the end of treatment.
Approximate terms of incapacity for work
With a mild form of the disease 5-7 days, with an average 12-14 days, with a heavy - 3-4 weeks. Examination is not regulated.